NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS LLC NPI 1417401357

NPI Information

  • NPI: 1417401357
  • Provider Name: NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Organization
  • Doing Business As: NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS - PSYCHIATRY
  • Address: 3100 SW 62ND AVE
    DIVISION OF PSYCHIATRY- 2ND FLOOR
    MIAMI, FL
    ZIP 33155
  • Phone: (786) 624-5876

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NPI Details

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC is a child and adolescent psychiatry psychiatry neurology in Miami, FL. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC NPI is 1417401357. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Nicklaus Children's Pediatric Specialists - Psychiatry.

The provider's business location address is:

3100 SW 62ND AVE
DIVISION OF PSYCHIATRY- 2ND FLOOR
MIAMI, FL
ZIP 33155-009
Phone: (786) 624-5876
Fax: (786) 624-2688

The provider's authorized official is Marcos Mestre .
The authorized official title is Svp and has the following contact phone number (305) 666-6511.

The enumeration date for this NPI number is 8/9/2016 and was last updated on 11/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

What is NPI?

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This page was last updated on: 11/21/2025

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